Spending Wisely : Buying Health Services for the Poor

With a special focus on strategic purchasing and contracting of services from nongovernmental providers, this title reviews ways to make public spending on health care more efficient and equitable in developing countries. It is recommended that: 1) experiments and pilot projects for improving public sector hospitals should focus on mission clarity and organizational simplification; 2) programs for improving the composition of utilization should experiment with payments to consumers and with health labor force composition and training; and 3) initiatives to attract providers to rural areas should use explicit deferred compensation contracts to improve monitoring.

Bibliographic Details

Main Authors:	Preker, Alexander S., Langenbrunner, John C.
Language:	English en_US
Published:	Washington, DC: World Bank 2005
Subjects:	ANALYTICAL WORK, ANTENATAL CARE, BEDS, BENEFIT INCIDENCE, BUDGET ALLOCATIONS, CITIES, CLINICS, COST RECOVERY, COST -RECOVERY, CURATIVE HEALTH CARE, DATA COLLECTION, DEVELOPING COUNTRIES, DISCRIMINATION, EQUALITY, EXERCISES, EXPENDITURE DATA, EXTERNALITIES, FAMILIES, GENDER, GOVERNANCE STRUCTURE, HEALTH CARE, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH NEEDS, HEALTH OUTCOMES, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH STATUS, HEALTH SURVEY, HEALTH SYSTEM, HEALTH SYSTEMS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HOUSEHOLD SURVEY, HUMAN DEVELOPMENT, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INCOME NEUTRAL, INCOME QUINTILES, INPATIENT CARE, LONG TERM, MORBIDITY, MORTALITY, NUTRITION, OUTPATIENT CARE, OUTPATIENT SERVICES, POLICY IMPLICATIONS, POLICY MAKERS, POOR CHILDREN, POOR HOUSEHOLDS, POOR MEN, POPULATION GROUPS, POVERTY CATEGORY, POVERTY LINE, POVERTY LINES, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE SECTOR, PRIVATE SECTORS, PRODUCTIVE ASSET, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC HOSPITALS, PUBLIC POLICIES, PUBLIC RESOURCES, PUBLIC SECTOR, PUBLIC SERVICES, RESIDENCES, RESOURCE ALLOCATION, RURAL AREAS, RURAL POPULATION, RURAL SETTINGS, SERVICE DELIVERY, URBAN AREAS, URBAN POPULATION, URBAN POPULATIONS,
Online Access:	http://documents.worldbank.org/curated/en/2005/05/6428821/spending-wisely-buying-health-services-poor https://hdl.handle.net/10986/7449
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